Medical Coding Flashcards
7 cards from real CCDM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medical Coding flashcards as text
When autocoding software suggests a MedDRA code for a verbatim adverse event term, what step must a trained coder take before accepting it?
Answer: Review the suggestion for clinical appropriateness before accepting
Autocoding suggestions must always be reviewed by a qualified coder to confirm clinical appropriateness before acceptance.
In MedDRA, which System Organ Class (SOC) would 'Myocardial infarction' most appropriately fall under?
Answer: Cardiac disorders
Myocardial infarction is classified under the 'Cardiac disorders' SOC in MedDRA.
A CCDM candidate reviewing a coding audit finds that two coders assigned different MedDRA PTs to the same verbatim term. This represents a failure in:
Answer: Inter-rater coding consistency
When two coders assign different codes to the same verbatim term, it indicates a lack of inter-rater consistency, which must be addressed through training or a coding guide.
What is the correct ICD-10-CM code sequencing rule for a patient admitted for chemotherapy for cancer?
Answer: Sequence the encounter for chemotherapy (Z51.11) as the principal diagnosis
When the reason for admission is chemotherapy, ICD-10-CM directs coding Z51.11 as the principal diagnosis, with the cancer coded additionally.
SNOMED CT is used in clinical data management primarily for:
Answer: Coding clinical findings, diagnoses, and procedures in EHR systems
SNOMED CT provides a comprehensive clinical terminology for EHR systems, covering findings, diagnoses, procedures, and more.
In CPT coding, what does the term 'unbundling' refer to?
Answer: Billing separately for services that should be coded together under one comprehensive code
Unbundling is the improper practice of reporting multiple codes for components of a procedure that should be billed as a single comprehensive code.
Which MedDRA version update practice is required when a clinical trial spans multiple MedDRA version releases?
Answer: Recoding all terms to the new version per a documented version upgrade plan
Regulatory guidance and ICH E2B require that a documented MedDRA version upgrade plan be followed to recode all terms consistently when updating versions mid-trial.